NEONATAL
RESUSCITATION
Introduction
Birth of a child is a special
moment of joy for the parents and along with it comes a lot of expectations.
However, the first few moments after birth are full of anxiety and rapid
physiological adjustments. Most babies go through the transition successfully
as a matter of routine; however 10 per cent of babies who do not start
breathing immediately and spontaneously result in birth asphyxia and need
assistance to initiate breathing.
Competency in neonatal resuscitation is critical in the delivery rooms,
neonatology units and pediatrics intensive care units to ensure the safety and
health of neonates. Neonatal resuscitation is effective only when health
professionals have sufficient knowledge and skills. But malpractices by health
professionals are frequent in the resuscitation of neonates. For the timely and successful resuscitation
measures , it requires accurate understanding by the nursing students working
in the delivery room, postnatal and neonatal units to have adequate skills for
prompt neonatal resuscitation technique. For the timely and successful resuscitation
measures , it requires accurate understanding by the nursing students working
in the delivery room, postnatal and neonatal units to have adequate skills for
prompt neonatal resuscitation technique.
Title:
A pre experimental study to assess the effectiveness of lecture cum
demonstration on neonatal resuscitation among 3rd year B.Sc nursing
students, AIIMS, Rishikesh.
Objectives
of the study: To assess the effectiveness of
lecture cum demonstration on neonatal resuscitation among 3rd year
B.Sc nursing students,AIIMS, Rishikesh.
Methodology:
A pre experimental one group post test
only design was adopted to evaluate the effectiveness of lecture cum
demonstration on neonatal resuscitation. The population was 3rd year
nursing students. The accessible population was nursing students studying in
AIIMS Rishikesh. A total of 46 students were selected from 3rd b.sc
nursing by using non random convenient sampling technique. A tool was prepared
after extensive review of various books, journals and articles. It includes 20
structured questions regarding neonatal resuscitation. A survey method was
adopted to collect the date. Data was organized and tabulated for analysis.
Descriptive and inferential statistics were adopted to analyze the data.
Findings
of the study:
Score
|
Interpretation
|
Mean
|
Median
|
Standard
deviation
|
0-6
|
Inadequate
|
8.1
|
8
|
2.53
|
7-13
|
Moderately adequate
|
|||
14-20
|
Adequate
|
Figure-1
Average
Figure-2
Result:
From the above findings it was
found that 3rd years B,sc (nursing) students are having moderately
adequate knowledge regarding neonatal resuscitation after having lecture cum demonstration. The
finding shows that mean score was 8.1 and median was 8 with standard deviation
of 2.53. there is found that the post test was effective in improving their
knowledge level among the 3rd year B.Sc Nursing students.
Conclusion:
Newborn resuscitation is very important topic
and important procedure to be demonstrated to all nursing students but 3rd
B.SC nursing students are particularly need to be focused more because the are
working in the delivery room, postnatal and neonatal units with ward incharges
during their clinical posting. So it requires accurate understanding about this
procedure. Lecture cum demonstration is
moderately affective in improving their knowledge on neonatal resuscitation.
But students need more practice as the result showed only moderately adequate
knowledge. So it is concluded that lecture cum discussion alone is not enough
in improving their knowledge, they additional teaching method like vedio
teaching, repeated demonstration,
practice in the real setting on the topic.
Reference:
1.
Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I,
Bassani DG, Jha P, Campbell H, Walker CF, Cibulskis R, Eisele T, Liu L, Mathers
C, Child Health Epidemiology Reference Group of, W. H. O. Unicef: Global,
regional, and national causes of child mortality in 2008: a systematic
analysis. Lancet 2010, 375(9730):1969–1987.
2.
Wyllie J, Perlman JM, Kattwinkel J, Atkins DL,
Chameides L, Goldsmith JP, Guinsburg R, Hazinski MF, Morley C, Richmond S,
Simon WM, Singhal N, Szyld E, Tamura M, Velaphi S. Neonatal Resuscitation
Chapter Collaborators: Part 11: neonatal resuscitation: 2010
international consensus on cardiopulmonary resuscitation and emergency
cardiovascular care science with treatment recommendations. Resuscitation 2010, 81
Suppl 1:e260–e287
3.
Thio M, van Kempen L, Rafferty AR, Bhatia R, Dawson
JA, Davis PG: Neonatal resuscitation in resource-limited settings:
titrating oxygen delivery without an oxygen blender. J Pediatr 2014, 165(2):256–260.
e251.
4.
Ersdal HL, Singhal N: Resuscitation in
resource-limited settings. Semin Fetal Neonatal Med 2013, 18(6):373–378.
5.
Kattwinkel J: Textbook of Neonatal
Resuscitation. 6th edition. Elk Grove Village IL: American Academy of
Pediatrics; 2011.
6.
Perlman J, Kattwinkel J, Wyllie J, Guinsburg R,
Velaphi S, Group NSftNITF: Neonatal resuscitation: in pursuit of
evidence gaps in knowledge. Resuscitation 2012, 83(5):545–550
7.
Fraser WD, Hofmeyr J, Lede R, Faron G, Alexander S,
Goffinet F, Ohlsson A, Goulet C, Turcot-Lemay L, Prendiville W, Marcoux S,
Laperriere L, Roy C, Petrou S, Xu HR, Wei B: Amnioinfusion for the
prevention of the meconium aspiration syndrome. N Engl J Med2005, 353(9):909–917.
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